Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gennadiy Vengerovich

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477708907

Gennadiy Vengerovich is an Otolaryngology in Boynton Beach, Florida. Qualified in 2006, 20 years ago. Practices with Florida ENT Associates Inc, a 159-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
20
Licensed in
FL, NY
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

10150 Hagen Ranch Rd Ste 100
Boynton Beach, FL 33437-3776
Phone: (561) 736-8141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME116592 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatric Otolaryngology Physician Taxonomy 207YP0228X · Licence ME116592 (FL)

Record details

NPI number1477708907
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 25, 2008
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Florida Ent Associates Inc — 159 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Boynton Beach